scholarly journals Response to Intervention in first-grade writing instruction: a large-scale feasibility study

2021 ◽  
Author(s):  
María Arrimada ◽  
Mark Torrance ◽  
Raquel Fidalgo
Keyword(s):  
Response To Intervention ◽  
Large Scale ◽  
Full Range ◽  
First Grade ◽  
Teaching Writing ◽  
Narrative Writing ◽  
Students At Risk ◽  
Approach To Teaching

AbstractEarly failure to learn writing skills might go unnoticed and unremedied unless teachers adopt specific strategies for identifying and supporting students who learn at a slower pace. We implemented a Response to Intervention (RTI) program for teaching narrative writing. Over 18 months from start of primary school, 161 Spanish children received instruction in strategies for planning text and training in handwriting and spelling, and completed very regular narrative writing tasks. Data from these tasks were analysed to identify students at risk of falling behind. These students then completed additional, parent-supervised training tasks. During this training the quality of these students’ texts improved more rapidly than those of their peers. The resulting decrease in difference relative to peers, as measured by both regular narrative tasks and by post and follow-up measures, was sustained after additional training ceased. Interviews and questionnaires found good parent and teacher buy-in, with some caveats. Findings therefore indicate the feasibility and potential value of a RTI approach to teaching writing in single-teacher, full-range, first-grade classes.

scholarly journals Problem-solving training: assessing the feasibility and acceptability of delivering and evaluating a problem-solving training model for front-line prison staff and prisoners who self-harm

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e026095 ◽  
Author(s):  
Amanda Perry ◽  
Mitchell Glenn Waterman ◽  
Allan House ◽  
Alexandra Wright-Hughes ◽  
Joanne Greenhalgh ◽  
...  
Keyword(s):  
Problem Solving ◽  
Large Scale ◽  
Outcome Data ◽  
Front Line ◽  
Prison Staff ◽  
Intervention Delivery ◽  
Routinely Collected Data ◽  
Self Harm

ObjectivesProblem-solving skills training is adaptable, inexpensive and simple to deliver. However, its application with prisoners who self-harm is unknown. The study assessed the feasibility and acceptability of a problem-solving training (PST) intervention for prison staff and prisoners who self-harm, to inform the design of a large-scale study.Design and settingA mixed-methods design used routinely collected data, individual outcome measures, an economic protocol and qualitative interviews at four prisons in Yorkshire and Humber, UK.Participants(i) Front-line prison staff, (ii) male and female prisoners with an episode of self-harm in the previous 2 weeks.InterventionThe intervention comprised a 1 hour staff training session and a 30 min prisoner session using adapted workbooks and case studies.OutcomesWe assessed the study processes—coverage of training; recruitment and retention rates and adequacy of intervention delivery—and available data (completeness of outcome data, integrity of routinely collected data and access to the National Health Service (NHS) resource information). Prisoner outcomes assessed incidence of self-harm, quality of life and depression at baseline and at follow-up. Qualitative findings are presented elsewhere.ResultsRecruitment was higher than anticipated for staff n=280, but lower for prisoners, n=48. Retention was good with 43/48 (89%) prisoners completing the intervention, at follow-up we collected individual outcome data for 34/48 (71%) of prisoners. Access to routinely collected data was inconsistent. Prisoners were frequent users of NHS healthcare. The additional cost of training and intervention delivery was deemed minimal in comparison to ‘treatment as usual’. Outcome measures of self-harm, quality of life and depression were found to be acceptable.ConclusionsThe intervention proved feasible to adapt. Staff training was delivered but on the whole it was not deemed feasible for staff to deliver the intervention. A large-scale study is warranted, but modifications to the implementation of the intervention are required.

DISSEMINATING A CLINICALLY EFFECTIVE PHYSICAL ACTIVITY PROGRAM TO PRESERVE MOBILITY IN A COMMUNITY SETTING FOR OLDER ADULTS

2016 ◽  
pp. 1-6
Author(s):  
J. LAUSSEN ◽  
C. KOWALESKI ◽  
K. MARTIN ◽  
C. HICKEY ◽  
R.A. FIELDING ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Older Adults ◽  
Large Scale ◽  
Well Being ◽  
Moderate Intensity ◽  
Community Based ◽  
Counseling Intervention

Background: As the population of older adults continues to increase, the dissemination of strategies to maintain independence of older persons is of critical public health importance. Recent large-scale clinical trial evidence has definitively shown intervention of moderate-intensity physical activity (PA) reduces major mobility disability in at-risk older adults. However, it remains unknown whether structured PA interventions, with demonstrated efficacy in controlled, clinical environments, can be successfully disseminated into community settings to benefit wider populations of older adults. Objective: To assess the dissemination of an evidence-based PA program for older adults by evaluating program participation and its impact on mobility, strength and quality of life. Setting: An urban senior center. Participants: Fifty older adults (71.2 ± 8 years aged; BMI: 30.1 ± 7 kg/m2). Intervention: Average of 8.0 ± 1.8 months of participation in the Fit-4-Life Program, a community-based PA and nutrition counseling intervention. Measurements: Mobility (Short Physical Performance Battery (SPPB)), self-reported physical activity (CHAMPS questionnaire), leg strength, grip strength, and quality of life (Quality of Well-Being Self-Administered (QWB-SA) scale) were assessed at baseline and follow-up. Results: Mean attendance was 55.8%. Fourteen participants were lost to follow-up. Those who dropped-out engaged in less PA at baseline (78 ± 108 mins/wk) compared to those who completed follow-up (203 ± 177 mins/wk, P=0.01). Participants exhibited sustained increases of PA (65 ± 153 mins/wk, P= 0.08), and there were meaningful improvements in SPPB (0.5 ± 0.2, P< 0.01), knee extensor strength (2.6 ± 4.4 kg, P< 0.01) and QWB-SA (0.04 ± 0.09, P= 0.05). Conclusion: The dissemination of a clinically efficacious PA intervention into a community-based setting can improve mobility, strength and quality of life for older adults. This knowledge may be helpful for the design and implementation of larger-scale PA intervention studies designed to preserve mobility in older adults within community-based settings.

Overcoming barriers in incorporating evaluation of quality of life (QL) and symptoms by using the ePRO version of the LCSS (eLCSS-QL) in a large-scale multinational NSCLC trial (AP-QL Trial).

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 8092-8092
Author(s):  
Sumitra Thongprasert ◽  
Richard J. Gralla ◽  
Patricia J Hollen ◽  
Hoon-Kyo Kim ◽  
Te-Chun Hsia ◽  
...  
Keyword(s):  
Large Scale ◽  
Prospective Trial ◽  
Primary Treatment ◽  
Computer Assisted ◽  
Asian Countries ◽  
Major Response ◽  
Symptom Evaluation ◽  
Symptom Awareness

8092 Background: Survival and QL improvements are primary treatment goals in advanced NSCLC. Few trials evaluate both of these major endpoints well: typically only a minority of patients (pts) have QL followed over time, preventing such data from assisting in key decisions concerning the effectiveness and value of treatment. To overcome barriers, we used a computer-assisted version of the validated LCSS measure and tested this prospectively in a large study. Prior trials indicated that the eLCSS-QL requires only 2 minutes to complete the pt version and is highly acceptable. Methods: 622 pts received initial docetaxel (D)-based chemo, at 65 sites in 9 Asian countries. 70% male; 65% adenocarcinoma; median: KPS = 90; ECOG = 1 (27% ECOG 0). Stages: IV (72%), IIIB (28%). 84% had > two major symptoms. 80% had combination chemo with cisplatin (52%) or carboplatin (28%). Computer skills were low in 73%. eLCSS-QL was completed every 3 weeks at the clinic. We also surveyed 98 physicians (MD) and nurses (RN) treating these pts regarding communication, usefulness and acceptability of the eLCSS-QL. Results: 97% of pts completed the eLCSS-QL at baseline; 90% completed follow-up evaluations. Over 90% found the eLCSS-QL easy to use, acceptable to complete at each visit; >80% reported increased awareness of symptoms; making it easier to speak with MDs / RNs. 1% refused eLCSS-QL completion. Of MDs/RNs: >90% found the eLCSS-QL easy to use and increased symptom awareness; >80% reported improved communication, enhanced satisfaction with the pt visit, and recommend its use. Nearly 90% of MDs reported they could identify benefit from chemo earlier; 76% would order fewer imaging tests and 80% said the eLCSS-QL could save time. Major response rate 37%; median survivals: 13.9 months (D + cisplatin), 12.7 months (D + carboplatin). Conclusions: Patients, MDs, RNs all found the eLCSS-QL to be highly acceptable and easy to use with 90% of pts doing repeated QL measures. This large prospective trial demonstrates the potential for QL / symptom evaluation to aid in decision making and to guide appropriate use of chemotherapy and imaging while enhancing staff and pt satisfaction.

Part VII Structure and Operations, Ch.40 High-Level Panels

2016 ◽  
Author(s):  
Thakur Ramesh
Keyword(s):  
Global Governance ◽  
International Organizations ◽  
Full Range ◽  
Agents Of Change ◽  
International Diplomacy ◽  
High Level ◽  
Operational Impacts ◽  
Operational Impact

This chapter first situates international organizations (IOs) in the context of the changing nature of international diplomacy, including in particular summits and conferences as modes of contemporary diplomacy. It then describes the proliferating number and types of high-level panels as instances of commission diplomacy. Third, it discusses the ideational, normative, institutional, and operational impacts of panels. Finally, it provides a menu of the ingredients for successful commission diplomacy, including the different types of norm actors. The factors that determine the success and failure of high-level panels include their structural and operational features; the quality of leadership provided by their chairs; the breadth, depth, and diversity of expertise of their members; the organization of adequate financial and personnel resources to enable the necessary research and consultations to be undertaken; mission clarity and focus; and the full range of follow-up dissemination, advocacy, and championing of the recommendations. While their operational impact can be diffuse, uncertain, and spread thinly over considerable periods of time, they can be important agents of change in global governance for projecting the power of ideas and processing them into new and improved policy, normative, institutional, and operational outcomes.

Rationale, design and baseline characteristics of the MyoVasc study: A prospective cohort study investigating development and progression of heart failure

2020 ◽  
pp. 204748732092643
Author(s):  
Sebastian Göbel ◽  
Jürgen H Prochaska ◽  
Sven-Oliver Tröbs ◽  
Marina Panova-Noeva ◽  
Christine Espinola–Klein ◽  
...  
Keyword(s):  
Heart Failure ◽  
Cohort Study ◽  
Large Scale ◽  
Clinical Presentation ◽  
Full Range ◽  
Response To Therapy ◽  
Computer Assisted ◽  
Full Spectrum ◽  
Study Participants

Background Heart failure (HF) is a poly-aetiological syndrome with large heterogeneity regarding clinical presentation, pathophysiology, clinical outcome and response to therapy. The MyoVasc study (NCT04064450) is an epidemiological cohort study investigating the development and progression of HF. Methods The primary objective of the study is (a) to improve the understanding of the pathomechanisms of HF across the full spectrum of clinical presentation, (b) to investigate the current clinical classifications of HF, and (c) to identify and characterize homogeneous subgroups regarding disease development using a systems-oriented approach. Worsening of HF, that is, the composite of transition from asymptomatic to symptomatic HF, hospitalization due to HF, or cardiac death, was defined as the primary endpoint of the study. During a six-year follow-up period, all study participants receive a highly standardized, biannual five-hour examination in a dedicated study centre, including detailed cardiovascular phenotyping and biobanking of various biomaterials. Annual follow-up examinations are conducted by computer-assisted telephone interviews recording comprehensively the participants´ health status, including subsequent validation and adjudication of adverse events. Results In total, 3289 study participants (age range: 35 to 84 years; female sex: 36.8%) including the full range of HF stages were enrolled from 2013 to 2018. Approximately half of the subjects ( n=1741) presented at baseline with symptomatic HF (i.e. HF stage C/D). Among these, HF with preserved ejection fraction was the most frequent phenotype. Conclusions By providing a large-scale, multi-dimensional biodatabase with sequential, comprehensive medical-technical (sub)clinical phenotyping and multi-omics characterization (i.e. genome, transcriptome, proteome, lipidome, metabolome and exposome), the MyoVasc study will help to advance our knowledge about the heterogeneous HF syndrome by a systems-oriented biomedicine approach. Trial registration ClinicalTrials.gov; NCT04064450.

scholarly journals Long-stay patients discharged from psychiatric hospitals

2000 ◽  
Vol 176 (3) ◽  
pp. 217-223 ◽  
Author(s):  
Julian Leff ◽  
Noam Trieman
Keyword(s):  
Quality Of Life ◽  
Large Scale ◽  
Psychiatric Hospitals ◽  
Great Majority ◽  
Clinical State ◽  
Discharged Patients ◽  
Living Skills ◽  
One Year

BackgroundThere have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services.AimsWe aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged.MethodThe total long-stay population of Friern Hospital and several hundred long-stay patients in Claybury Hospital were assessed with a batch of eight schedules while in hospital. They were followed up after one year in the community and then at five years.ResultsOf the 670 discharged patients, 126 died before the five-year follow-up. Data were obtained on 523 (97%) of the survivors. There was no change in the patients' clinical state or in their problems of social behaviour. However, they gained domestic and community living skills. They also acquired friends and confidants. They were living in much freer conditions and the great majority wanted to remain in their current homes.ConclusionsCommunity care has enhanced the quality of life of this group of patients, involved in a well-planned and adequately resourced reprovision programme.

scholarly journals A Network Perspective on Successful Aging and Resilience in Later Life: A Protocol Paper

2021 ◽  
Author(s):  
Lotte Brinkhof ◽  
K. Richard Ridderinkhof ◽  
sanne de wit ◽  
Harm Krugers ◽  
Jaap M. J. Murre
Keyword(s):  
Successful Aging ◽  
Large Scale ◽  
Later Life ◽  
Well Being ◽  
Physical And Mental Health ◽  
Life Challenges ◽  
Social Environmental ◽  
Multiple Domains

Aging inevitably gives rise to many late-life challenges and transitions that impose threats for one’s physical and mental health, which can greatly impact our well-being and quality of life. Hence, the key to successful aging may not be the absence of these challenges and transitions, but the ability to demonstrate resilience to them. We recently started a large-scale study (N &gt; 10.000) among older adults (55 years or older) in the Netherlands, with the aim to understand resilience as an emergent property that arises through the interplay between various (risk and protective) factors from different domains. Participants are asked to complete online questionnaires and tests that cover a multitude of relevant factors from multiple domains (e.g., physical, psychological, cognitive, social, environmental). Relationships between those factors will be analysed through network analysis, in which conditional dependencies between factors are depicted in a network of nodes. In this way, critical resilience (protective) and risk factors can be identified. This study offers a unique possibility to obtain insights into the factors that characterize and contribute to resilience in old age and thereby assist in generating hypotheses for follow up work. The contribution of this study in the growing field of resilience research, as well as the limitations, are discussed accordingly.

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